Abstract
The aim of this study was to determine the prevalence and predictive features of bacteremia among patients evaluated in the emergency department for urinary tract infection. Of the 350 patients with symptomatic urinary tract infection included in this retrospective study, 53 (15%; 95%CI 11.6–19.4%) were bacteremic. Five variables were independently associated with bacteremia: residence at home rather than in an institution (OR 4; 95%CI 1.5–10.7), presence of an indwelling urinary catheter (OR 3.3; 95%CI 1.3–8.8), presence of band forms in the blood count (OR 3.3; 95%CI 1.5–7.2), shaking chills (OR 2.3; 95%CI 1.1–4.8), and neutrophilia (OR 1.1; 95%CI 1.04–1.15). These easily assessable parameters may assist in the diagnosis of bacteremic urinary tract infection and the selection of empiric antibiotic treatment, thus potentially improving a patient’s prognosis.
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References
Nicolle LE (2001) Epidemiology of urinary tract infections. Infect Med 18:153–162
Richardson JP (1993) Bacteremia in the elderly. J Gen Intern Med 8:89–92
Lark RL, Saint S, Chenoweth C, Zemencuk JK, Lipsky BA, Plorde JJ (2001) Four-year prospective evaluation of community-acquired bacteremia: epidemiology, microbiology, and patient outcome. Diagn Microbiol Infect Dis 41:15–22
Mylotte JM, Kahler L, McCann C (2001) Community-acquired bacteremia at a teaching versus a nonteaching hospital: impact of acute severity of illness on 30-day mortality. Am J Infect Control 29:13–19
Whitelaw DA, Rayner BL, Willcox PA (1992) Community-acquired bacteremia in the elderly: a prospective study of 121 cases. J Am Geriatr Soc 40:996–1000
Siegman-Igra Y, Fourer B, Orni-Wasserlauf R, Golan Y, Noy A, Schwartz D, Giladi M (2002) Reappraisal of community-acquired bacteremia: a proposal of a new classification for the spectrum of acquisition of bacteremia. Clin Infect Dis 34:1431–1439
Jerkeman M, Braconier JH (1992) Bacteremic and non-bacteremic febrile urinary tract infection—a review of 168 hospital-treated patients. Infection 20:143–145
Leibovici L, Greenshtain S, Cohen O, Wysenbeek AJ (1992) Toward improved empiric management of moderate to severe urinary tract infections. Arch Intern Med 152:2481–2486
Richard JA, Patrick WM (1996) Bacteremic urinary tract infection in older people. J Am Geriatr Soc 44:927–933
Nickel JC, Pidutti R (1992) A rational approach to urinary tract infections in older patients. Geriatrics 47:49–55
Rosenberg M, Berger SA, Barki M, Goldberg S, Fink A, Miskin A (1992) Initial testing of a novel urine culture device. J Clin Microbiol 30:2686–2691
Clarridge JE, Johnson JR, Pezzlo MT (1998) Laboratory diagnosis of urinary tract infections. In: Cumitech 2B. American Society for Microbiology, Washington, DC
Aspevall O, Hallander H, Gant V, Kouri T (2001) European guidelines for urinalysis: a collaborative document produced by European clinical microbiologists and clinical chemists under ELCM in collaboration with ESCMID. Clin Microbiol Infect 7:173–178
Morgan MG, McKenzie H (1993) Controversies in laboratory diagnosis of community acquired urinary tract infection. Eur J Clin Microbiol Infect Dis 12:491–504
Senay H, Goetz MB (1991) Epidemiology of bacteremic urinary tract infections in chronically hospitalized eldery men. J Urol 145:1201–1204
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Bahagon, Y., Raveh, D., Schlesinger, Y. et al. Prevalence and predictive features of bacteremic urinary tract infection in emergency department patients. Eur J Clin Microbiol Infect Dis 26, 349–352 (2007). https://doi.org/10.1007/s10096-007-0287-3
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DOI: https://doi.org/10.1007/s10096-007-0287-3